This is not a bill. Service date 15-Jul-2026. Please retain for your records.
Member NameSuresh Kulkarni
ProviderSri Sanjeevini Multispeciality Hospital
Member IDPPH991616167
Service Code99214 — Office visit, established patient
Group NumberGRP-88213-CH
DiagnosisI10 — Essential hypertension
Date of Birth06-Jun-1969
Amount Billed₹2,400.00
Subscriber Address103, MG Road, Chandigarh 160017
Plan Discount₹960.00
Contact Number+91 89707 64379
Amount You Owe₹0.00 (fully covered)
Deductible Applied₹0.00
Claim Received18-Jul-2026
Processed25-Jul-2026
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